Individual
AMANDA KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, MA, EDS
Contact information
Practice address
105 N OAK ST, TRENTON, IL 62293-1765
(618) 514-7204
Mailing address
105 N OAK ST, TRENTON, IL 62293-1765
(618) 514-7204
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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